Nursing team and organ donation: an integrative literature review

Figueiredo, Clesyane Alves; Pergola-Marconato, Aline Maino; Saidel, Maria Giovana Borges

doi:10.1590/1983-80422020281369

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Sumário

RESEARCH • Rev. Bioét. 28 (1) • Jan-Mar 2020 • https://doi.org/10.1590/1983-80422020281369 copy

Nursing team and organ donation: an integrative literature review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The nursing team takes the lead in decision making related to organ donation process and family care as both are part of its work. This study aimed at identifying nursing team’s actions and activities directed to the families of potential organ donors in brain death from an integrative literature review. The final sample consisted of 10 articles whose analysis pointed to the central role played by nursing in creating bonds with the potential donor’s family, especially considering the difficulty of family members in understanding the death process. The sample also indicated urgent need to implement training programs for nursing teams in order to help reduce their suffering while in contact with families experiencing this situation. As a conclusion, family care requires several complex activities, including rigorous preparation and humanization to deal with family members and professionals.

Family; Nursing; Brain death; Transplants; Tissue donors

n	Authores; year of publication	Journal	Article title	Aim	Level of evidence
1	Lima, Batista, Barbosa; 2013 ¹⁸	Revista Eletrônica de Enfermagem	“Percepções da equipe de enfermagem no cuidado ao paciente em morte encefálica”	Understand the perceptions of the nursing team about its performance in caring for brain-dead patients	4
2	Cavalcante, Ramos, Araújo, Alves, Braga; 2014 ¹⁰	Acta Paulista de Enfermagem	“Cuidados de enfermagem ao paciente em morte encefálica e potencial doador de órgãos”	Analyze nurses’ opinion on nursing care for brain-dead patients and potential organ donors	4
3	Freire, Mendonça, Freitas, Melo, Costa, Torres; 2014 ⁷	Enfermería Global	“Compreensão da equipe de enfermagem sobre a morte encefálica e a doação de órgãos”	Identify the nursing team’s understanding of brain death and organ and tissue donation	4
4	Moraes, Santos, Merighi, Massarollo; 2014 ¹⁹	Revista Latino-Americana de Enfermagem	“Vivência de enfermeiros no processo de doação de órgãos e tecidos para transplante”	Know the meaning of nurses’ actions in the donation process to make organs and tissues feasible for transplant	4
5	Moraes, Neves, Santos, Merighi, Massarollo; 2015 ²⁰	Revista da Escola de Enfermagem da USP	“Experiências e expectativas de enfermeiros no cuidado ao doador de órgãos e à sua família”	Understand the experiences and expectations of nurses in intensive care units in caring for organ donors for transplants and their families	4
6	Fernandes, Bittencourt, Boin; 2015 ²¹	Revista Latino-Americana de Enfermagem	“Vivenciando a doação de órgãos: sentimentos de familiares pós consentimento”	Identify experiences and feelings of donor family members in a transplant unit related to the organ donation process	4
7	Silva Filho, Lopes, Bispo, Andrade; 2016 ²²	Revista de Enfermagem UFPE On-Line	“Enfermagem e a sensibilização de famílias na doação de órgãos e tecidos para transplante: revisão integrativa”	Identify the scientific evidence addressing nursing actions to increase families’ awareness of organ and tissue donation for transplantation	5
8	Costa, Costa, Aguiar; 2016 ⁹	Revista Bioética	“A enfermagem e o paciente em morte encefálica na UTI”	Clarify the theoretical relevance in a detailed context regarding the practice of organ donation in society and know the role of the professional nurse in the capturing and donating process, highlighting the essential care to maintain the potential donor, assistance to the family and control of all vital functions until the time of donation	5
9	Junqueira, Cavalcanti, Santos, Silva, Silva; 2016 ¹⁶	Revista Saúde	“Morte encefálica: o enfermeiro prestando assistência ao potencial doador de órgãos e tecidos”	Understand the importance of nurses in assisting potential donors of organs and tissues	5
10	Costa, Mourão Netto, Brito, Goyanna, Santos, Santos; 2017 ¹⁷	Revista Bioética	“Fragilidades na atenção ao potencial doador de órgãos: percepção de enfermeiros”	To know the nurses’ perception of care fragilities for brain-dead patients	4

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[1] Correspondence: Clesyane Alves Figueiredo – Av. Maximiliano Baruto, 500, Jardim Universitário CEP 13607-339. Araras/SP, Brasil.